The significance of peak expiratory flow rate in assessing prognosis of elderly patients undergoing operations on the hip

Galasko, C. S. B.; Rushton, Stella; Sylvester, Bruce; Steingold, R.F.; Noble, J.; Boston, Deborah

doi:10.1016/0020-1383(85)90055-5

Cited by 8 publications

(1 citation statement)

References 9 publications

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“…Peak expiratory flow rate is useful in predicting pulmonary complications. Few deaths occur in patients with peak expiratory flow rates (PEFR) greater than 200 mL/min, whereas patients with PEFR less than 100 mL/min experienced a 70% mortality rate 98 …”

Section: Paradigms For Anticipating Common Complicationsmentioning

confidence: 99%

Preoperative Assessment of Older Adults

Thomas

Ritchie

1995

J American Geriatrics Society

122

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Caring for older patients who need surgery presents challenging medical situations. The clinical paradigm involves identifying coexisting disease, defining the urgency of the intervention, and predicting postoperative complications based on the type of surgery planned. The prime function of the medical consultant is searching for correctable medical conditions. The consultant must carefully identify coexisting and comorbid conditions. Emergency surgery should be avoided, if possible, by elective planning. The risk of surgery varies with the procedure. Non-body cavity surgery, with the exception of hip fracture repair, is usually tolerated well. Age is a risk factor for surgery, but coexisting disease is more important than age alone. The net effect of improvements in surgical outcome advances the age at which surgical risk becomes prohibitive.

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Section: Paradigms For Anticipating Common Complicationsmentioning

confidence: 99%

Preoperative Assessment of Older Adults

Thomas

Ritchie

1995

J American Geriatrics Society

122

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Hip Fractures

Kuntz¹,

Gee²,

Ahn³

et al. 2010

Fractures in the Elderly

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Factors associated with mortality following hip fracture in Japan

et al. 2006

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Various factors have been reported to increase the risk of death following hip fracture. However, our review of the literature indicates that previous studies were generally performed based on a rough classification of comorbidities. In this study, comorbidities were classified in detail, and the risk of death following hip fracture was investigated. Four hundred and eighty patients with hip fracture were enrolled. The patients' comorbidities and walking ability before injury were investigated using their own or their family's reports or their medical history, and the residences where the subjects were taken after discharge were recorded. Subsequently, the patients or their family were interviewed about whether they were alive or dead on January 1, 2002, by mail or telephone. A survival curve was drawn based on the Kaplan-Meier method. Cox proportional hazards regression models were used to determine the risk factors for death. An expected mortality rate for the Japanese population from 1991 to 2002 was obtained from a life table published by the Ministry of Health, Labour, and Welfare and compared to our observed mortality. The 1-year survival rate following hip fracture was 88.5%, which was a little lower than the expected survival rate. In subsequent years, the survival rate was lower than the expected survival rate. Being male and/or having a trochanteric fracture were risk factors for death. Patients who walked with a walker or other support or were nonambulatory before injury had an increased risk of death. Among the comorbidities, dementia, diabetes mellitus, and a history of gastrectomy or colonectomy were risk factors for death. Among the complications, pneumonia during hospitalization was a risk factor for death.

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The significance of peak expiratory flow rate in assessing prognosis of elderly patients undergoing operations on the hip

Cited by 8 publications

References 9 publications

Preoperative Assessment of Older Adults

Preoperative Assessment of Older Adults

Hip Fractures

Factors associated with mortality following hip fracture in Japan

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